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Individual

DR. MAHENDRA PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 VAN WYCK EXPRESSWAY, JAMAICA, NY 11418
(718) 206-6000
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4163

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
135113-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00417890
NY
Enumeration date
10/24/2006
Last updated
07/10/2008
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